EP4021346B1 - Intraocular lens having a specific, three-dimensionally curved haptic element - Google Patents

Intraocular lens having a specific, three-dimensionally curved haptic element Download PDF

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Publication number
EP4021346B1
EP4021346B1 EP20753740.8A EP20753740A EP4021346B1 EP 4021346 B1 EP4021346 B1 EP 4021346B1 EP 20753740 A EP20753740 A EP 20753740A EP 4021346 B1 EP4021346 B1 EP 4021346B1
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EP
European Patent Office
Prior art keywords
ring
intraocular lens
optical part
valleys
optical axis
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Application number
EP20753740.8A
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German (de)
French (fr)
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EP4021346A1 (en
Inventor
Stephanie MÜLLER
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Carl Zeiss Meditec AG
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Carl Zeiss Meditec AG
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2/1602Corrective lenses for use in addition to the natural lenses of the eyes or for pseudo-phakic eyes
    • A61F2/161Posterior chamber lenses for use in addition to the natural lenses of the eyes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2002/1681Intraocular lenses having supporting structure for lens, e.g. haptics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2002/1681Intraocular lenses having supporting structure for lens, e.g. haptics
    • A61F2002/1683Intraocular lenses having supporting structure for lens, e.g. haptics having filiform haptics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2002/1681Intraocular lenses having supporting structure for lens, e.g. haptics
    • A61F2002/169Surrounding optic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2002/1681Intraocular lenses having supporting structure for lens, e.g. haptics
    • A61F2002/16901Supporting structure conforms to shape of capsular bag
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063Three-dimensional shapes
    • A61F2230/0095Saddle-shaped

Definitions

  • One aspect of the invention relates to an intraocular lens with a single optical part and with a haptic that is coupled to the optical part and with a main optical axis that penetrates a front and a back of the optical part, the haptic having a first haptic part, which is designed as a first ring and circumferentially around the optical part, and has at least one second haptic part, which is designed as a second ring and circumferentially around the optical part and which is elastically movable relative to the first haptic part, with at least one of the two rings in the circumferential direction is uneven around the main optical axis,
  • Intraocular lenses are known in a variety of designs. Intraocular lenses usually have at least two separate haptics, which are designed opposite each other in the circumferential direction around the main optical axis and are designed radially adjacent to the optical part. More than two such separate haptics can also be formed, for example three haptics.
  • Intraocular lenses can be implanted at different defined positions in the eye instead of a natural lens of the eye.
  • specific intraocular lenses are implanted in an anterior chamber of the eye.
  • anterior chamber lenses can be fixed in the anterior chamber angle.
  • intraocular lenses called iris clip lenses are known. Such intraocular lenses are attached to the pupil. In particular, they are clamped to the pupil opening.
  • Such an intraocular lens is, for example, from DE 10 2007 057 122 A1 known.
  • the intraocular lens there with this The specific implantation site in the eye has two opposing haptics. Each of these haptics has two L-shaped haptic arms. Mutually facing ends of these haptic arms are arranged facing each other, viewed in a plane perpendicular to the main optical axis of this intraocular lens, but arranged without contact and without overlap.
  • haptic arms formed in this way, the iris can be clamped through the gap formed, which is formed in the circumferential direction around the main optical axis between the ends of the haptic arms.
  • such lenses are not intended or suitable for being implanted in a capsular bag of an eye.
  • anterior chamber lenses other specific intraocular lenses are known, which can be referred to as posterior chamber lenses and are implanted into a capsular bag of the eye.
  • an intraocular lens which is a posterior chamber lens.
  • this rear chamber lens it is provided that two separate haptics are formed on opposite regions of the optical part radially adjacent to the optical part. Both respective haptics are designed with two haptic parts.
  • the two haptic parts of a haptic can be moved relative to each other.
  • a defined bend point for example as a film hinge, is formed at a defined connection point between the haptic parts which are connected in one piece to one another.
  • the radially outer haptic part of this haptic can be bent or folded relative to the first haptic part, which is directly connected to the optical part. This folding movement is only possible in the plane perpendicular to the optical axis. This is intended to reduce the radial width of the entire intraocular lens in order to avoid irritation inside the capsular bag caused by these haptics.
  • Such posterior chamber lenses have a more or less planar structure. This means that the capsular bag, which shrinks after implantation, comes into contact with the rear side of the optical part. Cell migration can occur at the contact surface, causing the posterior capsular bag to become cloudy. It is known that such clouding of the posterior capsular bag can be avoided or at least reduced if the back of the optical part the intraocular lens is surrounded by aqueous humor. This requires that there is a distance between the back of the optical part, the intraocular lens and the posterior capsular bag.
  • a spacing of a back side of the optical part of the intraocular lens from the capsular bag in the implanted state of the intraocular lens in the capsular bag is at DE 103 10 961 B4 not possible. Therefore, this posterior chamber lens does not solve the problem mentioned above.
  • an intraocular lens that has a three-dimensionally shaped haptic that is designed as a mesh.
  • the haptics have several arcs that bulge radially to the main optical axis. These arches are arranged with their two ends at different positions in the direction of the main optical axis of the intraocular lens.
  • One end of the arches is arranged on a peripheral side of the optical part of the intraocular lens.
  • the second end of the arch protrudes axially forward over the optical part and is attached to a circular ring of the haptics.
  • the circular ring is arranged completely in a surface plane which is arranged away from the optical part and is oriented perpendicular to the optical axis of the lens.
  • an intraocular lens which also has a three-dimensionally shaped haptic, the shape of which does not extend in one plane.
  • this haptic has two rings encircling the main optical axis. These rings are each wavy in a meandering shape.
  • the meander shape with its many loops is designed to run all the way around the main optical axis.
  • the two rings are connected to one another at shaft reversal points, with the ring mountains located radially further inside being freely cantilevered and facing each other or facing the main optical axis.
  • Such three-dimensional haptics are intended to improve the secure holding of the intraocular lens in the capsular bag.
  • these haptics are very complex in shape and therefore difficult to manufacture.
  • the complexity of the shape also makes implanting the intraocular lens into the capsular bag more difficult.
  • these have haptics also the problem that they pose due to their symmetry around the main optical axis
  • a capsular bag can be strongly compressed radially in some areas.
  • An intraocular lens according to the preamble of claim 1 is known US 4,804,361 A .
  • One aspect of the invention relates to an artificial intraocular lens with a single optical part.
  • the optical part is a lens.
  • the optical part has specific optical imaging properties so that specific corrections of visual defects can be carried out.
  • the intraocular lens also has a haptic that is coupled to the optical part.
  • the intraocular lens has an optical axis or an optical main axis, which penetrates a front and a back of the optical part and in particular penetrates centrally.
  • the haptic has a first haptic part, which is designed as a first ring. The first ring is formed all around the optical part.
  • the haptic has at least a second haptic part, which is designed as a second ring. The second ring is formed all around the optical part.
  • the two haptic parts can be moved elastically. At least one of the two rings is uneven when viewed in the circumferential direction around the main optical axis.
  • the ring is not formed in one plane along its longitudinal axis and thus along its ring shape, but rather its course is uneven in this regard. At least one of the two rings has exactly two ring valleys and exactly two ring mountains.
  • Such a design creates a relatively simple geometry for this at least one haptic part. This has manufacturing advantages.
  • such a design improves the retention of the intraocular lens in the capsular bag. In particular, both undesirable rotation of the intraocular lens in the capsular bag and undesirable tilting of the optical part can at least be reduced. With that you can an improved position fixation of the intraocular lens in the capsular bag can be made possible.
  • this height designation is viewed with respect to a central plane of the optical part.
  • This central plane is oriented perpendicular to the main optical axis and runs in particular centrally through the optical part.
  • the ring valleys are located closer to this central plane than the ring mountains.
  • such a design also ensures that the intraocular lens can also be positioned in the capsular bag in a more secure position in the axial direction and thus in the direction of the main optical axis.
  • the at least one ring with exactly two ring valleys and exactly two ring mountains has the shape of an edge ring or a border of a riding saddle shape.
  • the relevant ring essentially represents a border or an edge of such a riding saddle shape.
  • This ring can therefore also be referred to as a riding saddle shape edge ring.
  • This specification also specifies the design with two ring valleys and exactly two ring mountains.
  • this ring with exactly two ring valleys and exactly two ring mountains can also be understood to mean that a ring formed in a plane is curved around an axis that is perpendicular to the main optical axis, thus creating this three-dimensional shape of the ring.
  • This axis, around which this ring is curved, runs in particular in the central plane of the optical part.
  • the at least one ring with its exactly two ring valleys opens into the optical part and is arranged with the ring mountains in a non-contact manner with the optical part.
  • the ring with its exactly two ring valleys opens onto the optical part at two different points on the circumference.
  • the intraocular lens can be made in one piece.
  • the haptics and the optical part are separate components.
  • the haptics can then be mechanically connected to the optical part.
  • a clamp connection or a plug connection or a snap connection can be formed between an edge region of the optical part and the haptic.
  • the haptics in particular on the ring valleys, can have depressions on the inside, into which an edge region of the optical part engages and is held.
  • an adhesive connection can also be provided.
  • the ring valleys are arranged in a first radius to the main optical axis when viewed in a projection view in the direction of the main optical axis and that the ring mountains are arranged in a second radius that is larger in comparison to the first radius in this projection view.
  • the ring is not circular in its final position in the projection plane, but is deformed in this respect.
  • the ring valleys are positioned further inwards than the ring mountains. The ring mountains are therefore radially further away from the main optical axis than the ring valleys. This particularly applies to viewing in the projection plane. This improves the elastic mobility of the ring, especially at the ring mountains.
  • the at least one ring with exactly two ring valleys and exactly two ring mountains has a first partial ring which extends from the first ring valley over a first ring mountain to the subsequent second ring valley.
  • a clear width of the partial ring which is measured between the ring valleys, is at least 90 percent of the diameter of the optical part. In particular, this clear width is 100 percent or slightly more than 100 percent of this diameter.
  • This configuration creates a partial ring whose span extends from the first ring valley to the second ring valley and in this respect represents a single U-shaped arc. This U-shaped arch therefore encloses the optical part in a first half-side circumferential region or spans this optical part. This can also be seen particularly in the projection plane mentioned above.
  • two successive ring valleys which immediately follow in the direction of the longitudinal axis of the ring on opposite sides to form a ring mountain, are offset by 180° in the circumferential direction around the main optical axis. They therefore lie on opposite sides in this azimuthal direction.
  • the at least one ring with exactly two ring valleys and exactly two ring mountains has a first partial ring which extends from the first ring valley over a first ring mountain to the subsequent second ring valley, the curvature of the first partial ring with respect to the optical Main axis is directed radially outwards.
  • the direction of curvature is therefore first Partial ring, which represents a half ring, formed according to the curvature of the circumference of the optical part, in particular over its entire length. These directions of curvature are therefore in the same direction, but have different values.
  • a partial ring is designed as an uneven, U-shaped arch. The U-opening faces the main optical axis.
  • this applies to the entire arc width between the two adjacent ring valleys of this first partial ring.
  • the ring mountains viewed in the direction of the main optical axis, are at a greater distance from the central plane of the optical part than the ring valleys.
  • the first ring has the same shape as the second ring.
  • these two rings are arranged symmetrically to the central plane of the optical part. This means that the ring valleys in particular lie directly against one another and the ring mountains are arranged at the same azimuthal position in the circumferential direction around the main optical axis and are maximally spaced apart.
  • a distance that is dimensioned in the direction of the main optical axis varies in the circumferential direction around the main optical axis and is minimum at the positions of ring valleys of these two rings and is maximum at positions of the ring peaks of the two rings.
  • the optical part in particular has a center thickness.
  • This center thickness is measured along the main optical axis and represents the largest thickness of the optical part.
  • a thickness of the optical part is formed which is between the maximum of the curved front and / or the maximum of the curved back of the optical part and the central plane of the optical part viewed along the main optical axis. In particular, this thickness is half the center thickness of the optical part.
  • a distance of a ring mountain from the central plane which is therefore dimensioned perpendicular to the central plane and is therefore viewed in the direction of the main optical axis, is greater than this thickness. This ensures in a particularly advantageous manner that in particular an upper side, in particular the back of the optical part in the implanted state in the eye, can be positioned at a distance from a capsular bag wall, in particular from the rear capsular bag wall.
  • the two haptic rings are arranged in the circumferential direction around the main optical axis at the same azimuth position with their two ring valleys.
  • the two haptic rings or the first ring and the second ring are arranged in the circumferential direction around the main optical axis at the same azimuth position with their two ring mountains.
  • the rings are arranged relative to one another in such a way that they represent a radially outwardly directed open mouth or a mouth shape in the area of the ring mountains. Viewed in the radial direction, this mouth has the largest mouth opening at the radially outermost end.
  • these two rings increase in radius up to the other next ring valley and the distance between these two rings, viewed in the direction of the main optical axis, increases continuously up to the two ring mountains and then decreases the Ringbergen to the second ring valley that follows.
  • the rings with their respective ring valleys on a peripheral wall of the optical part are connected directly to the optical part, in particular are formed in one piece with it. It can be provided that the adjacent ring valleys of the two rings are arranged adjacently at this specific azimuth position and without overlap or are designed to overlap with one another.
  • the rings can also be designed in one piece with each other as a ring ensemble.
  • the rings are designed as circular rings in their unfolded state into a plane, in which only the two-dimensional shape is then shown. When viewed in two dimensions in this regard, they can also be designed as oval rings in one plane.
  • At least one of the two rings is designed to be uninterrupted in the circumferential direction and therefore completely closed.
  • an axial distance of a ring mountain of a ring to the central plane of the optical part is greater than a distance of a, in particular central, Curvature maximum of the optical part to the center plane.
  • the intraocular lens is a posterior chamber lens for implanting into a capsular bag of an eye.
  • the intraocular lens proposed in this regard is foldable and can be positioned symmetrically in the capsular bag without causing axial displacements.
  • the haptics specified in this regard can be individually adapted to the spatial conditions of the capsular bag in an improved manner. This makes it possible to avoid undesirable changes in the position of the optical part or the optical part of the intraocular lens. In particular, this design of the haptics also achieves improved rotational stability of the intraocular lens in the capsular bag.
  • the intraocular lens is formed in one piece from a polymer material.
  • the intraocular lens is designed as a capsular bag-implanting intraocular lens.
  • it can also be referred to as a capsular bag implantation intraocular lens.
  • it is a posterior chamber lens for implanting into a capsular bag of an eye. This means that the intraocular lens is intended, in particular only, for implantation into a capsular bag of an eye.
  • FIG. 1 an embodiment of an artificial intraocular lens 1 is shown in a perspective view.
  • This intraocular lens 1 is a posterior chamber lens for implanting into a capsular bag of an eye. It can therefore also be referred to as a capsular bag implantation intraocular lens.
  • the intraocular lens 1 has an optical part 2.
  • the optical part 2 is designed as a lens. It is designed to generate a defined optical imaging property of the intraocular lens 1.
  • the intraocular lens 1 has an optical axis or an optical main axis A. This penetrates a front side 3 of the optical part 2 and a back side 4 of the optical part 2 centrally and in the middle of the optical part 2.
  • the intraocular lens 1 has a haptic 5.
  • the haptic 5 is formed from two rings 6 and 7.
  • the first ring 6 is at least partially elastically deformable.
  • the first ring 6 is uneven in the circumferential direction around the main optical axis A. This means that the first ring 6 with its entire shape or its entire geometry is not arranged in a single plane. Rather, the first ring 6 is formed as a three-dimensionally shaped ring. With regard to its three-dimensional shape, the first ring 6 has exactly two ring valleys 8 and 17.
  • the first ring 6 also has exactly two ring mountains 9 and 10.
  • the ring valleys 8 and 17 as well as the ring mountains 9 and 10 are particularly related to a central plane M ( Fig. 6a to 6c ) of the optical part 2 can be seen.
  • This central plane M of the optical part 2 designed as a lens runs in particular centrally through this optical part 2 and is oriented perpendicular to the main optical axis A. Viewed in the direction of the main optical axis A, the two ring valleys 8 and 17 are therefore at a smaller distance from the central plane M than the ring mountains 9 and 10.
  • the ring valleys 8 and 17 are arranged offset from one another by 180° in the circumferential direction around the main optical axis A.
  • the same is preferably designed for the ring mountains 9 and 10.
  • the ring mountains 9 and 10 are formed along the longitudinal axis B of the first ring 9 at the same distance from the two ring valleys 8 and 17.
  • the first ring 6 has the shape of an edge ring of a riding saddle shape.
  • the first ring 6 In its position in the finished final state of the intraocular lens 1, the first ring 6 is designed as a circular ring or oval ring, which is curved around an axis that lies in the central plane M and is oriented perpendicular to the main optical axis A. This creates this riding saddle shape.
  • this end position of the first ring 6 is an annular section formed from a jacket wall of a hollow cylinder, this hollow cylinder having as a cylinder axis that which lies in the central plane M and is oriented perpendicular to the main optical axis A.
  • the first ring 6 is coupled with its ring valleys 8 and 17 to the optical part 2 on the circumference. In particular, it is directly connected to the optical part 2.
  • the first ring 6 is arranged with its ring mountains 9 and 10 without contact with the optical part 2. These ring mountains 9 and 10, when viewed in the radial direction to the main optical axis A, can therefore project freely outwards.
  • the haptic 5 in the exemplary embodiment has a second ring 11.
  • This second ring 11 is also designed to be uninterrupted in the circumferential direction around the main optical axis A completely circumferential around the main optical axis A.
  • this second ring 11 also has exactly two ring valleys 12 and 13 and two ring mountains 14 and 15.
  • the second ring 11 is preferably arranged relative to the first ring 6 such that in the circumferential direction around the main optical axis A, the two ring valleys 8 and 12 are arranged at the same azimuth position and the two ring valleys 17 and 13 are also arranged in the same azimuth position.
  • the two rings 6 and 11 are designed and arranged such that the ring mountains 9 and 14 are arranged at the same azimuth position and the ring mountains 10 and 15 are arranged at the same azimuth position.
  • Fig. 2 the haptics 5 of the intraocular lens 1 are shown without the optical part 2 in a perspective view.
  • the haptic 5 with the two rings 6 and 7 is formed in one piece here.
  • the dashed dividing lines are to be understood here merely as auxiliary lines specifying the respective geometry of the rings 6 and 7.
  • the rings 6 and 7 can also be designed separately.
  • a top view as shown in Fig. 3 is shown schematically and in which one looks at the intraocular lens 1 in the direction of the main optical axis A, it can be seen that the ring valleys 8 and 17 of the first ring 6 are arranged in a first radius r1 to the main optical axis A.
  • This radius r1 is smaller than a radius r2.
  • This second radius r2 represents the radial distance of the ring mountains 9 and 10 to the main optical axis A.
  • the ring mountains 9 and 10 of the first ring 6 are therefore radially further away from the main optical axis A than the ring valleys 8 and 17.
  • the first ring 6 has a first partial ring 6a, which extends from the first ring valley 8 over the first ring mountain 9 to the second ring valley 17.
  • the curvature or the direction of curvature of this first partial ring 6a is directed radially outwards with respect to the main optical axis A.
  • the first partial ring 6a thus represents in the projection view Fig. 3 represents a U-bend. It extends from one circumferential point of the optical part 2 to another Circumferential point of the optical part 2, which is offset by 180 ° in this regard.
  • the two partial rings 6a and 6b together form the first ring 6.
  • a clear width L which extends in a straight line between the ring valleys 8 and 17 and runs through the main optical axis A, is at least 90 percent, in particular at least 100 percent, of the diameter of the optical part 2. The same applies to a clear width between the ring valleys 12 and 13.
  • This first partial ring 6a is directed radially outwards with respect to its curvature relative to the main optical axis A.
  • the ring mountains 9 and 14 have a distance a1 which is dimensioned in the direction of the main optical axis A.
  • This distance a1 is larger than a possibly existing distance between the ring valleys 8 and 12 and/or the ring valleys 17 and 13, measured in the direction of the main optical axis A.
  • a corresponding distance a1 is also formed between the ring mountains 10 and 15.
  • a distance between the two rings 6 and 11 therefore varies from a minimum or a distance 0 at the ring valleys 8, 12 and 17, 13 to a respective maximum, which is determined by the distances a1 between the ring mountains 9, 14 and / or the ring mountains 10, 15 is formed.
  • the ring mountains 9 and 10 of the first ring 6, viewed in the direction of the main optical axis A, have a greater distance from the central plane M in the optical part 2 than the ring valleys 8 and 17. In particular, this distance is half of the distance a1 . In particular, the same applies to the distances between the ring mountains 14 and 15 from this central plane M, in particular in relation to the ring valleys 12 and 13.
  • the two rings 6 and 11 are designed symmetrically to the central plane M.
  • FIG. 4 an exemplary embodiment of a first ring 6 is shown.
  • This ring 6 is shown in the plane of the figure and thus in comparison Fig. 1 opened up in this regard and thus just shown.
  • this unfolded flat representation it has the shape of a circular ring.
  • the first ring 6 is shown in this plane of the figure and is therefore shown in an unfolded state and thus in a two-dimensional representation in comparison to the end position of an intraocular lens 1.
  • This unfolded basic shape can be an oval ring in the top view.
  • Corresponding shapes, as in the two-dimensional opened basic shape of the first ring 6 in Fig. 4 and Fig. 5 are shown, can also be designed for the second ring 11.
  • a schematic representation shows an implanted state of the intraocular lens 1 in a capsular bag 16.
  • the relatively small capsular bag 16 here means that the ring mountains 9, 10, 14 and 15 are moved relatively strongly towards each other and are therefore elastically deformed in this regard.
  • the optical part 2 has a center thickness D.
  • This center thickness D is measured along the main optical axis A and represents the largest thickness of the optical part 2.
  • a thickness that is measured between the front 3 and the center plane M along the main optical axis A represents half of this center thickness D.
  • a distance of a ring mount 9, 10 from the central plane M, viewed in the direction of the main optical axis A is greater than this distance D/2.
  • this configuration also makes it possible for the intraocular lens 1 in the implanted state in the capsular bag 6 to be arranged with its optical part 2 at a distance from the capsular bag walls, in particular a rear capsular bag wall. This means that aqueous humor can get between a back 4 and the rear capsular bag wall of the capsular bag 16.
  • Fig. 6b In a further exemplary embodiment, the implanted state of the intraocular lens 1 in a capsular bag 16 'is shown.
  • This capsular bag 16 ' is different in size and/or shape from the capsular bag 16. Due to the elasticity and specific shape of the haptic 5, positioning is also possible therein in a secure and/or rotationally stable and/or tilt-free manner.
  • Another representation an implanted state of the intraocular lens 1 in a capsular bag 16" which is again different in this regard is in Fig. 6c shown schematically.

Description

Technisches GebietTechnical area

Ein Aspekt der Erfindung betrifft eine Intraokularlinse mit einem einzigen optischen Teil und mit einer Haptik, die mit dem optischen Teil gekoppelt ist, und mit einer optischen Hauptachse, die eine Vorderseite und eine Rückseite des optischen Teils durchdringt, wobei die Haptik ein erstes Haptikteil aufweist, welches als erster Ring und umlaufend um den optischen Teil ausgebildet ist, und zumindest ein zweites Haptikteil aufweist, welches als zweiter Ring und umlaufend um den optischen Teil ausgebildet ist und welches relativ zum ersten Haptikteil elastisch bewegbar ist, wobei zumindest einer der beiden Ringe in Umlaufrichtung um die optische Hauptachse uneben ausgebildet ist,One aspect of the invention relates to an intraocular lens with a single optical part and with a haptic that is coupled to the optical part and with a main optical axis that penetrates a front and a back of the optical part, the haptic having a first haptic part, which is designed as a first ring and circumferentially around the optical part, and has at least one second haptic part, which is designed as a second ring and circumferentially around the optical part and which is elastically movable relative to the first haptic part, with at least one of the two rings in the circumferential direction is uneven around the main optical axis,

Stand der TechnikState of the art

Intraokularlinsen sind in vielfältigen Ausgestaltungen bekannt. Üblicherweise weisen Intraokularlinsen zumindest zwei separate Haptiken auf, die in Umlaufrichtung um die optische Hauptachse gegenüberliegend ausgebildet sind und radial anschließend an den optischen Teil ausgebildet sind. Es können auch mehr als zwei derartige separate Haptiken ausgebildet sein, beispielsweise drei Haptiken.Intraocular lenses are known in a variety of designs. Intraocular lenses usually have at least two separate haptics, which are designed opposite each other in the circumferential direction around the main optical axis and are designed radially adjacent to the optical part. More than two such separate haptics can also be formed, for example three haptics.

Intraokularlinsen können an unterschiedlichen definierten Positionen im Auge anstelle einer natürlichen Linse des Auges implantiert werden. So ist es in dem Zusammenhang vorgesehen, dass spezifische Intraokularlinsen in einer Vorderkammer des Auges implantiert werden. Beispielsweise können derartige Vorderkammerlinsen im vorderen Kammerwinkel fixiert werden.Intraocular lenses can be implanted at different defined positions in the eye instead of a natural lens of the eye. In this context, it is envisaged that specific intraocular lenses are implanted in an anterior chamber of the eye. For example, such anterior chamber lenses can be fixed in the anterior chamber angle.

Darüber hinaus sind Intraokularlinsen bekannt, die als Iris-Clip-Linsen bezeichnet werden. Derartige Intraokularlinsen werden an der Pupille befestigt. Insbesondere werden sie dabei an die Pupillenöffnung geklemmt. Eine derartige Intraokularlinse ist beispielsweise aus der DE 10 2007 057 122 A1 bekannt. Die dortige Intraokularlinse mit diesem spezifischen Implantationsort im Auge weist zwei gegenüberliegende Haptiken auf. Jede dieser Haptiken weist zwei L-förmig geformte Haptikarme auf. Einander zugewandte Enden dieser Haptikarme sind, in einer Ebene senkrecht zur optischen Hauptachse dieser Intraokularlinse betrachtet, einander zugewandt angeordnet, jedoch berührungslos und überlappungsfrei angeordnet. Mittels derartig gebildeter Haptikarme kann durch den gebildeten Spalt, der in Umlaufrichtung um die optische Hauptachse zwischen den Enden der Haptikarme gebildet ist, die Iris eingeklemmt werden. Derartige Linsen sind jedoch nicht dazu vorgesehen und tauglich, in einem Kapselsack eines Auges implantiert werden zu können.In addition, intraocular lenses called iris clip lenses are known. Such intraocular lenses are attached to the pupil. In particular, they are clamped to the pupil opening. Such an intraocular lens is, for example, from DE 10 2007 057 122 A1 known. The intraocular lens there with this The specific implantation site in the eye has two opposing haptics. Each of these haptics has two L-shaped haptic arms. Mutually facing ends of these haptic arms are arranged facing each other, viewed in a plane perpendicular to the main optical axis of this intraocular lens, but arranged without contact and without overlap. By means of haptic arms formed in this way, the iris can be clamped through the gap formed, which is formed in the circumferential direction around the main optical axis between the ends of the haptic arms. However, such lenses are not intended or suitable for being implanted in a capsular bag of an eye.

Diesbezüglich sind weitere spezifische Intraokularlinsen bekannt, die als Hinterkammerlinsen bezeichnet werden können und in einen Kapselsack des Auges implantiert werden.In this regard, other specific intraocular lenses are known, which can be referred to as posterior chamber lenses and are implanted into a capsular bag of the eye.

Aus der DE 103 10 961 B4 ist eine Intraokularlinse bekannt, die eine Hinterkammerlinse ist. Bei dieser Hinterkammerlinse ist vorgesehen, dass zwei separate Haptiken an gegenüberliegenden Bereichen des optischen Teils radial anschließend an den optischen Teil ausgebildet sind. Beide jeweiligen Haptiken sind mit zwei haptischen Teilen ausgebildet. Die beiden haptischen Teile einer Haptik sind relativ zueinander bewegbar. Dazu ist an einer definierten Verbindungsstelle zwischen den einstückig miteinander verbundenen Haptikteilen eine definierte Knickstelle, beispielsweise als Filmscharnier, ausgebildet. Dadurch kann das radial äußere haptische Teil dieser Haptik gegenüber dem ersten haptischen Teil, welches direkt an dem optischen Teil anschließt, geknickt beziehungsweise verklappt werden. Diese Klappbewegung ist nur in der Ebene senkrecht zur optischen Achse möglich. Dadurch soll dort die radiale Weite der gesamten Intraokularlinse reduziert werden, um Reizungen im Inneren des Kapselsacks durch diese Haptiken vermeiden zu können.From the DE 103 10 961 B4 an intraocular lens is known, which is a posterior chamber lens. In this rear chamber lens it is provided that two separate haptics are formed on opposite regions of the optical part radially adjacent to the optical part. Both respective haptics are designed with two haptic parts. The two haptic parts of a haptic can be moved relative to each other. For this purpose, a defined bend point, for example as a film hinge, is formed at a defined connection point between the haptic parts which are connected in one piece to one another. As a result, the radially outer haptic part of this haptic can be bent or folded relative to the first haptic part, which is directly connected to the optical part. This folding movement is only possible in the plane perpendicular to the optical axis. This is intended to reduce the radial width of the entire intraocular lens in order to avoid irritation inside the capsular bag caused by these haptics.

Derartige Hinterkammerlinsen haben eine mehr oder weniger planare Struktur. Dies hat zur Folge, dass der nach der Implantation schrumpfende Kapselsack mit der hinteren Seite des optischen Teils in Berührung kommt. An der Berührungsfläche kann es zur Migration von Zellen kommen, sodass sich der hintere Kapselsack eintrüben kann. Bekannt ist es, dass sich eine derartige Eintrübung des hinteren Kapselsacks dadurch vermeiden lässt oder zumindest reduzieren lässt, wenn die Rückseite des optischen Teils der Intraokularlinse vom Kammerwasser umspült wird. Dies erfordert, dass ein Abstand zwischen dieser Rückseite des optischen Teils die Intraokularlinse und dem hinteren Kapselsack vorhanden ist.Such posterior chamber lenses have a more or less planar structure. This means that the capsular bag, which shrinks after implantation, comes into contact with the rear side of the optical part. Cell migration can occur at the contact surface, causing the posterior capsular bag to become cloudy. It is known that such clouding of the posterior capsular bag can be avoided or at least reduced if the back of the optical part the intraocular lens is surrounded by aqueous humor. This requires that there is a distance between the back of the optical part, the intraocular lens and the posterior capsular bag.

Eine Beabstandung einer Rückseite des optischen Teils der Intraokularlinse zu dem Kapselsack im implantierten Zustand der Intraokularlinse im Kapselsack ist bei der DE 103 10 961 B4 nicht möglich. Daher wird auch durch diese Hinterkammerlinse die oben genannte Problemstellung nicht gelöst.A spacing of a back side of the optical part of the intraocular lens from the capsular bag in the implanted state of the intraocular lens in the capsular bag is at DE 103 10 961 B4 not possible. Therefore, this posterior chamber lens does not solve the problem mentioned above.

Aus der US 2007/0100444 A1 ist eine Intraokularlinse bekannt, die eine dreidimensional geformte Haptik aufweist, die als Geflecht ausgebildet ist. Die Haptik weist mehrere Bögen auf, die sich radial zur optischen Hauptachse ausbauchen. Diese Bögen sind mit ihren beiden Enden an unterschiedlichen Positionen in Richtung der optischen Hauptachse der Intraokularlinse angeordnet. Ein Ende der Bögen ist an einer Umfangsseite des optischen Teils der Intraokularlinse betrachtet angeordnet. Das zweite Ende der Bögen ist axial nach vorne über den optischen Teil überstehend und an einem Kreisring der Haptik befestigt. Der Kreisring ist vollständig in einer Flächenebene angeordnet, die entfernt zum optischen Teil angeordnet ist und senkrecht zur optischen Achse der Linse orientiert ist.From the US 2007/0100444 A1 an intraocular lens is known that has a three-dimensionally shaped haptic that is designed as a mesh. The haptics have several arcs that bulge radially to the main optical axis. These arches are arranged with their two ends at different positions in the direction of the main optical axis of the intraocular lens. One end of the arches is arranged on a peripheral side of the optical part of the intraocular lens. The second end of the arch protrudes axially forward over the optical part and is attached to a circular ring of the haptics. The circular ring is arranged completely in a surface plane which is arranged away from the optical part and is oriented perpendicular to the optical axis of the lens.

Aus der US 8 043 372 B2 ist eine Intraokularlinse bekannt die ebenfalls eine dreidimensional geformte Haptik aufweist, die sich mit ihrer Form nicht in einer Ebene erstreckt. Diese Haptik weist in einem Ausführungsbeispiel zwei um die optische Hauptachse umlaufende Ringe auf. Diese Ringe sind jeweils mäanderförmig gewellt. Die Mäanderform mit ihren vielen Schlingen ist um die optische Hauptachse umlaufend ausgebildet. Die beiden Ringe sind an Wellenumkehrpunkten miteinander verbunden, wobei die radial weiter innen liegenden Ringberge frei auskragend sind und einander zugewandt sind beziehungsweise der optischen Hauptachse zugewandt sind.From the US 8,043,372 B2 an intraocular lens is known which also has a three-dimensionally shaped haptic, the shape of which does not extend in one plane. In one exemplary embodiment, this haptic has two rings encircling the main optical axis. These rings are each wavy in a meandering shape. The meander shape with its many loops is designed to run all the way around the main optical axis. The two rings are connected to one another at shaft reversal points, with the ring mountains located radially further inside being freely cantilevered and facing each other or facing the main optical axis.

Durch derartige dreidimensionale Haptiken soll das sichere Halten der Intraokularlinse im Kapselsack verbessert werden. Diese Haptiken sind jedoch sehr formkomplex und daher schwierig herzustellen. Durch die Formkomplexität ist auch das Implantieren der Intraokularlinse in den Kapselsack erschwert. Des Weiteren besteht bei diesen Haptiken auch das Problem, das sie aufgrund ihrer Symmetrie um die optische Hauptachse inSuch three-dimensional haptics are intended to improve the secure holding of the intraocular lens in the capsular bag. However, these haptics are very complex in shape and therefore difficult to manufacture. The complexity of the shape also makes implanting the intraocular lens into the capsular bag more difficult. Furthermore, these have haptics also the problem that they pose due to their symmetry around the main optical axis

einem Kapselsack bereichsweise radial stark gestaucht werden.a capsular bag can be strongly compressed radially in some areas.

Eine Intraokularlinse nach dem Oberbegriff von Anspruch 1 ist bekannt aus US 4 804 361 A .An intraocular lens according to the preamble of claim 1 is known US 4,804,361 A .

Darstellung der ErfindungPresentation of the invention

Es ist Aufgabe der vorliegenden Erfindung, eine Intraokularlinse zu schaffen, die eine verbesserte Positionierung in einem Kapselsack eines Auges ermöglicht.It is the object of the present invention to create an intraocular lens that enables improved positioning in a capsular bag of an eye.

Diese Aufgabe wird durch eine künstliche Intraokularlinse gemäß den Merkmalen des unabhängigen Anspruchs gelöst.This task is solved by an artificial intraocular lens according to the features of the independent claim.

Ein Aspekt der Erfindung betrifft eine künstliche Intraokularlinse mit einem einzigen optischen Teil. Der optische Teil ist eine Linse. Der optische Teil weist spezifische optische Abbildungseigenschaften auf, sodass damit spezifische Korrekturen von Sehfehlern durchgeführt werden können.One aspect of the invention relates to an artificial intraocular lens with a single optical part. The optical part is a lens. The optical part has specific optical imaging properties so that specific corrections of visual defects can be carried out.

Die Intraokularlinse weist darüber hinaus eine Haptik auf, die mit dem optischen Teil gekoppelt ist. Die Intraokularlinse weist eine optische Achse beziehungsweise eine optische Hauptachse auf, die eine Vorderseite und eine Rückseite des optischen Teils durchdringt und insbesondere zentral mittig durchdringt. Die Haptik weist ein erstes Haptikteil auf, welches als erster Ring ausgebildet ist. Der erste Ring ist umlaufend um den optischen Teil ausgebildet. Die Haptik weist zumindest ein zweites Haptikteil auf, welches als zweiter Ring ausgebildet ist. Der zweite Ring ist umlaufend um den optischen Teil ausgebildet. Die beiden Haptikteile sind elastisch bewegbar. Zumindest einer der beiden Ringe ist in Umlaufrichtung um die optische Hauptachse betrachtet uneben ausgebildet. Dies bedeutet, dass der Ring entlang seiner Längsachse und somit entlang seiner Ringform betrachtet nicht in einer Ebene ausgebildet ist, sondern diesbezüglich sein Verlauf uneben ist. Zumindest einer der beiden Ringe weist genau zwei Ringtäler und genau zwei Ringberge auf. Durch eine derartige Ausgestaltung ist eine relativ einfache Geometrie dieses zumindest einen Haptikteils ausgebildet. Dies weist fertigungstechnische Vorteile auf. Darüber hinaus ist durch eine derartige Ausgestaltung die Halterung der Intraokularlinse im Kapselsack verbessert. Insbesondere kann sowohl eine unerwünschte Rotation der Intraokularlinse im Kapselsack als auch ein unerwünschtes Verkippen des optischen Teils zumindest reduziert werden. Damit kann eine verbesserte Positionsfixierung der Intraokularlinse in dem Kapselsack ermöglicht werden. Im Hinblick auf die genau zwei Ringtäler und die genau zwei Ringberge ist diese Höhenbezeichnung bezüglich einer Mittelebene des optischen Teils betrachtet. Diese Mittelebene ist senkrecht zur optischen Hauptachse orientiert und verläuft insbesondere mittig durch den optischen Teil. Die Ringtäler sind näher zu dieser Mittelebene angeordnet als die Ringberge.The intraocular lens also has a haptic that is coupled to the optical part. The intraocular lens has an optical axis or an optical main axis, which penetrates a front and a back of the optical part and in particular penetrates centrally. The haptic has a first haptic part, which is designed as a first ring. The first ring is formed all around the optical part. The haptic has at least a second haptic part, which is designed as a second ring. The second ring is formed all around the optical part. The two haptic parts can be moved elastically. At least one of the two rings is uneven when viewed in the circumferential direction around the main optical axis. This means that the ring is not formed in one plane along its longitudinal axis and thus along its ring shape, but rather its course is uneven in this regard. At least one of the two rings has exactly two ring valleys and exactly two ring mountains. Such a design creates a relatively simple geometry for this at least one haptic part. This has manufacturing advantages. In addition, such a design improves the retention of the intraocular lens in the capsular bag. In particular, both undesirable rotation of the intraocular lens in the capsular bag and undesirable tilting of the optical part can at least be reduced. With that you can an improved position fixation of the intraocular lens in the capsular bag can be made possible. With regard to the exactly two ring valleys and the exactly two ring mountains, this height designation is viewed with respect to a central plane of the optical part. This central plane is oriented perpendicular to the main optical axis and runs in particular centrally through the optical part. The ring valleys are located closer to this central plane than the ring mountains.

Darüber hinaus ist durch eine derartige Ausgestaltung auch erreicht, dass die Intraokularlinse auch in axialer Richtung und somit in Richtung der optischen Hauptachse positionssicherer in dem Kapselsack positioniert werden kann.In addition, such a design also ensures that the intraocular lens can also be positioned in the capsular bag in a more secure position in the axial direction and thus in the direction of the main optical axis.

In einer vorteilhaften Ausführung ist vorgesehen, dass der zumindest eine Ring mit den genau zwei Ringtälern und den genau zwei Ringbergen die Form eines Randrings beziehungsweise einer Umrandung einer Reitsattelform aufweist. Dies bedeutet, dass ausgehend von einer Reitsattelform der diesbezügliche Ring quasi eine Einfassung beziehungsweise einen Rand einer derartigen Reitsattelform darstellt. Dieser Ring kann somit auch als Reitsattelformrandring bezeichnet werden. Durch diese Spezifikation ist auch die Ausgestaltung mit zwei Ringtälern und genau zwei Ringbergen spezifiziert.In an advantageous embodiment it is provided that the at least one ring with exactly two ring valleys and exactly two ring mountains has the shape of an edge ring or a border of a riding saddle shape. This means that, starting from a riding saddle shape, the relevant ring essentially represents a border or an edge of such a riding saddle shape. This ring can therefore also be referred to as a riding saddle shape edge ring. This specification also specifies the design with two ring valleys and exactly two ring mountains.

Die Form dieses Rings mit den genau zwei Ringtälern und genau zwei Ringbergen kann auch dahingehend verstanden werden, dass ein in einer Ebene gebildeter Ring um eine Achse, die senkrecht zur optischen Hauptachse steht, herumgekrümmt wird und somit diese dreidimensionale Form des Rings entsteht. Diese Achse, um welche dieser Ring herumgekrümmt ist, ist insbesondere in der Mittelebene des optischen Teils verlaufend.The shape of this ring with exactly two ring valleys and exactly two ring mountains can also be understood to mean that a ring formed in a plane is curved around an axis that is perpendicular to the main optical axis, thus creating this three-dimensional shape of the ring. This axis, around which this ring is curved, runs in particular in the central plane of the optical part.

Durch diese spezifische Form des zumindest einen Rings mit den genau zwei Ringtälern und den genau zwei Ringbergen kann den oben genannten Vorteilen verbessert Rechnung getragen werden. Es ist einerseits ein sehr einfacher Aufbau ermöglicht, andererseits dennoch eine gezielte punktuelle Verbindung mit dem optischen Teil ermöglicht. Dadurch ist eine hohe individuelle Verformbarkeit dieses Rings, insbesondere im Bereich der Ringberge, ermöglicht, andererseits eine ausreichende mechanische Verbindung mit dem optischen Teil geschaffen.Through this specific shape of the at least one ring with exactly two ring valleys and exactly two ring mountains, the above-mentioned advantages can be better taken into account. On the one hand, a very simple structure is made possible, but on the other hand, a targeted point connection with the optical part is still possible. This enables a high level of individual deformability of this ring, especially in the area of the ring mountains, and on the other hand creates a sufficient mechanical connection with the optical part.

Insbesondere ist vorgesehen, dass der zumindest eine Ring mit seinen genau zwei Ringtälern an den optischen Teil mündet und mit den Ringbergen berührungslos zum optischen Teil angeordnet ist. Insbesondere mündet der Ring mit seinen genau zwei Ringtälern an zwei unterschiedlichen Stellen umfangsseitig an den optischen Teil. Durch eine derartige Ausgestaltung werden quasi nur zwei direkte mechanische Verbindungsstellen zwischen dem Ring und dem optischen Teil gebildet, nämlich durch die zwei gegenüberliegenden Ringtäler. Dadurch ist eine symmetrische mechanische Verbindungsausgestaltung zwischen dem Ring und dem optischen Teil geschaffen. Unerwünschte asymmetrische Verbindungen mit dem optischen Teil können dadurch vermieden werden. Durch die lediglich zwei vorgesehenen mechanischen Verbindungsstellen zwischen dem Ring und dem optischen Teil kann das Herstellen der Intraokularlinse vereinfacht werden. Andererseits ist dadurch die Formkomplexität der gesamten Intraokularlinse ebenfalls reduziert.In particular, it is provided that the at least one ring with its exactly two ring valleys opens into the optical part and is arranged with the ring mountains in a non-contact manner with the optical part. In particular, the ring with its exactly two ring valleys opens onto the optical part at two different points on the circumference. With such a design, only two direct mechanical connection points are formed between the ring and the optical part, namely by the two opposite ring valleys. This creates a symmetrical mechanical connection design between the ring and the optical part. This means that undesirable asymmetrical connections with the optical part can be avoided. Because there are only two mechanical connection points provided between the ring and the optical part, the production of the intraocular lens can be simplified. On the other hand, the shape complexity of the entire intraocular lens is also reduced.

Die Intraokularlinse kann einstückig ausgebildet sein. Es kann aber auch vorgesehen sein, dass die Haptik und der optische Teil separate Komponenten sind. Insbesondere kann dann die Haptik mit dem optischen Teil mechanisch verbunden sein. Beispielsweise kann eine Klemmverbindung oder eine Steckverbindung oder eine Schnappverbindung zwischen einem Randbereich des optischen Teils und der Haptik ausgebildet sein. Beispielsweise kann die Haptik, insbesondere an den Ringtälern, an der Innenseite Vertiefungen aufweisen, in welche ein Randbereich des optischen Teils eingreift und gehalten ist. Es kann aber auch eine Klebeverbindung vorgesehen sein.The intraocular lens can be made in one piece. However, it can also be provided that the haptics and the optical part are separate components. In particular, the haptics can then be mechanically connected to the optical part. For example, a clamp connection or a plug connection or a snap connection can be formed between an edge region of the optical part and the haptic. For example, the haptics, in particular on the ring valleys, can have depressions on the inside, into which an edge region of the optical part engages and is held. However, an adhesive connection can also be provided.

In einer vorteilhaften Ausführung ist vorgesehen, dass die Ringtäler bei einer Projektionsbetrachtung in Richtung der optischen Hauptachse in einem ersten Radius zur optischen Hauptachse angeordnet sind und die Ringberge bei dieser Projektionsbetrachtung in einem im Vergleich zum ersten Radius größeren zweiten Radius angeordnet sind. Bei dieser Projektionsbetrachtung ist der Ring in seiner Endposition somit nicht kreisförmig in der Projektionsebene gebildet, sondern diesbezüglich deformiert. Die Ringtäler sind in dem Zusammenhang weiter nach innen positioniert als die Ringberge. Die Ringberge sind somit radial weiter von der optischen Hauptachse entfernt als die Ringtäler. Dies gilt insbesondere für die Betrachtung in der Projektionsebene. Dadurch wird die elastische Bewegbarkeit des Rings gerade an den Ringbergen verbessert. Es kann somit eine individuellere Anpassung an die Ausgestaltung des Kapselsacks erfolgen und somit eine noch fein justiertere und präzisere Positionierung der Intraokularlinse im Kapselsack erreicht werden. Gerade durch diese radial weiter nach außen stehenden Ringberge, die dann auch frei auskragen und berührungslos zum optischen Teil ausgebildet sind und zu einer Mittelebene einen in Richtung der optischen Hauptachse betrachtet größeren Abstand als die Ringtäler aufweisen, sind diese Verformungsspezifikation und diese Verformungseigenschaften nochmals verbessert. Aufgrund dieses Vorteils kann auch die Verformungsanpassung an unterschiedlichste Ausgestaltungen von Kapselsäcken verbessert werden und dadurch wiederum die verbesserte Positionierung der Intraokularlinse in unterschiedlichen Kapselsäcken ermöglicht werden.In an advantageous embodiment, it is provided that the ring valleys are arranged in a first radius to the main optical axis when viewed in a projection view in the direction of the main optical axis and that the ring mountains are arranged in a second radius that is larger in comparison to the first radius in this projection view. In this projection view, the ring is not circular in its final position in the projection plane, but is deformed in this respect. In this context, the ring valleys are positioned further inwards than the ring mountains. The ring mountains are therefore radially further away from the main optical axis than the ring valleys. This particularly applies to viewing in the projection plane. This improves the elastic mobility of the ring, especially at the ring mountains. It can therefore be customized more individually Design of the capsular bag can be done and thus an even more finely adjusted and precise positioning of the intraocular lens in the capsular bag can be achieved. This deformation specification and these deformation properties are further improved precisely because of these ring mountains, which are positioned radially further outwards, which then also project freely and are designed without contact with the optical part and, when viewed in the direction of the main optical axis, are at a greater distance from a central plane than the ring valleys. Due to this advantage, the deformation adaptation to a wide variety of designs of capsular bags can also be improved and this in turn enables improved positioning of the intraocular lens in different capsular bags.

Vorzugsweise ist vorgesehen, dass der zumindest eine Ring mit den genau zwei Ringtälern und den genau zwei Ringbergen einen ersten Teilring aufweist, der sich von dem ersten Ringtal über einen ersten Ringberg bis zum nachfolgenden zweiten Ringtal erstreckt. Eine Lichte Weite des Teilrings, die sich zwischen den Ringtälern bemisst, ist mindestens 90 Prozent des Durchmessers des optischen Teils. Insbesondere beträgt diese Lichte Weite 100 Prozent oder etwas mehr als 100 Prozent dieses Durchmessers. Durch diese Ausgestaltung wird also ein Teilring geschaffen, der sich mit seiner Spannweite von dem ersten Ringtal zum zweiten Ringtal erstreckt und diesbezüglich einen einzigen U-förmigen Bogen darstellt. Dieser U-förmige Bogen fasst daher den optischen Teil in einem ersten halbseitigen Umfangsbereich ein beziehungsweise umspannt diesen optischen Teil. Auch dies ist insbesondere in der oben genannten Projektionsebene zu sehen.It is preferably provided that the at least one ring with exactly two ring valleys and exactly two ring mountains has a first partial ring which extends from the first ring valley over a first ring mountain to the subsequent second ring valley. A clear width of the partial ring, which is measured between the ring valleys, is at least 90 percent of the diameter of the optical part. In particular, this clear width is 100 percent or slightly more than 100 percent of this diameter. This configuration creates a partial ring whose span extends from the first ring valley to the second ring valley and in this respect represents a single U-shaped arc. This U-shaped arch therefore encloses the optical part in a first half-side circumferential region or spans this optical part. This can also be seen particularly in the projection plane mentioned above.

Vorzugsweise sind zwei aufeinanderfolgende Ringtäler, die in Richtung der Längsachse des Rings an gegenüberliegenden Seiten zu einem Ringberg unmittelbar folgen, in Umlaufrichtung um die optische Hauptachse um 180° versetzt. Sie liegen somit in dieser azimutalen Richtung an gegenüberliegenden Seiten.Preferably, two successive ring valleys, which immediately follow in the direction of the longitudinal axis of the ring on opposite sides to form a ring mountain, are offset by 180° in the circumferential direction around the main optical axis. They therefore lie on opposite sides in this azimuthal direction.

Vorzugsweise ist vorgesehen, dass der zumindest eine Ring mit den genau zwei Ringtälern und den genau zwei Ringbergen einen ersten Teilring aufweist, der sich von dem ersten Ringtal über einen ersten Ringberg bis zum nachfolgenden zweiten Ringtal erstreckt, wobei die Krümmung des ersten Teilrings bezüglich der optischen Hauptachse radial nach außen gerichtet ist. Die Krümmungsrichtung ist somit bei diesem ersten Teilring, der einen Halbring darstellt, entsprechend der Krümmung des Umfangs des optischen Teils ausgebildet, insbesondere über seine gesamte Länge. Diese Krümmungsrichtungen sind somit gleichgerichtet, wertmäßig jedoch unterschiedlich groß. Insbesondere ist ein Teilring als unebener, U-förmiger Bogen ausgebildet. Die U-Öffnung ist der optischen Hauptachse zugewandt.It is preferably provided that the at least one ring with exactly two ring valleys and exactly two ring mountains has a first partial ring which extends from the first ring valley over a first ring mountain to the subsequent second ring valley, the curvature of the first partial ring with respect to the optical Main axis is directed radially outwards. The direction of curvature is therefore first Partial ring, which represents a half ring, formed according to the curvature of the circumference of the optical part, in particular over its entire length. These directions of curvature are therefore in the same direction, but have different values. In particular, a partial ring is designed as an uneven, U-shaped arch. The U-opening faces the main optical axis.

Insbesondere betrifft dies die gesamte Bogenweite zwischen den beiden benachbarten Ringtälern dieses ersten Teilrings.In particular, this applies to the entire arc width between the two adjacent ring valleys of this first partial ring.

Vorzugsweise ist vorgesehen, dass die Ringberge in Richtung der optischen Hauptachse betrachtet einen größeren Abstand zur Mittelebene des optischen Teils aufweisen, als die Ringtäler. Insbesondere ist vorgesehen, dass der erste Ring die gleiche Form wie der zweite Ring aufweist. Insbesondere ist vorgesehen, dass diese beiden Ringe symmetrisch zu der Mittelebene des optischen Teils angeordnet sind. Dies bedeutet, dass die Ringtäler insbesondere direkt aneinander anliegen und die Ringberge an der jeweils gleichen azimutalen Position in Umlaufrichtung um die optische Hauptachse angeordnet sind und maximal beabstandet sind. Dies bedeutet, dass ein Abstand, der in Richtung der optischen Hauptachse bemessen ist, in Umlaufrichtung um die optische Hauptachse variiert und an den Positionen von Ringtälern von diesen beiden Ringen minimal ist und an Positionen der Ringberge der beiden Ringe maximal ist.It is preferably provided that the ring mountains, viewed in the direction of the main optical axis, are at a greater distance from the central plane of the optical part than the ring valleys. In particular, it is provided that the first ring has the same shape as the second ring. In particular, it is provided that these two rings are arranged symmetrically to the central plane of the optical part. This means that the ring valleys in particular lie directly against one another and the ring mountains are arranged at the same azimuthal position in the circumferential direction around the main optical axis and are maximally spaced apart. This means that a distance that is dimensioned in the direction of the main optical axis varies in the circumferential direction around the main optical axis and is minimum at the positions of ring valleys of these two rings and is maximum at positions of the ring peaks of the two rings.

Der optische Teil weist insbesondere eine Mittendicke auf. Diese Mittendicke ist entlang der optischen Hauptachse bemessen und stellt die größte Dicke des optischen Teils dar. Es ist eine Dicke des optischen Teils gebildet, die sich zwischen dem Maximum der gekrümmten Vorderseite und/oder dem Maximum der gekrümmten Rückseite des optischen Teils und der Mittelebene des optischen Teils entlang der optischen Hauptachse betrachtet bemisst. Insbesondere ist diese Dicke die Hälfte der Mittendicke des optischen Teils. Insbesondere ist im nicht implantierten Zustand der Intraokularlinse ein Abstand eines Ringbergs zur Mittelebene, der somit senkrecht zur Mittelebene bemessen ist und somit in Richtung der optischen Hauptachse betrachtet ist, größer als diese Dicke. Dadurch ist in besonders vorteilhafter Weise erreicht, dass insbesondere eine Oberseite, insbesondere die Rückseite des optischen Teils im implantierten Zustand im Auge beabstandet zur einer Kapselsackwand, insbesondere zur hinteren Kapselsackwand, positioniert werden kann.The optical part in particular has a center thickness. This center thickness is measured along the main optical axis and represents the largest thickness of the optical part. A thickness of the optical part is formed which is between the maximum of the curved front and / or the maximum of the curved back of the optical part and the central plane of the optical part viewed along the main optical axis. In particular, this thickness is half the center thickness of the optical part. In particular, in the non-implanted state of the intraocular lens, a distance of a ring mountain from the central plane, which is therefore dimensioned perpendicular to the central plane and is therefore viewed in the direction of the main optical axis, is greater than this thickness. This ensures in a particularly advantageous manner that in particular an upper side, in particular the back of the optical part in the implanted state in the eye, can be positioned at a distance from a capsular bag wall, in particular from the rear capsular bag wall.

Vorzugsweise ist vorgesehen, dass die beiden Haptikringe in Umlaufrichtung um die optische Hauptachse an gleicher Azimutposition mit ihren beiden Ringtälern angeordnet sind. Insbesondere sind die beiden Haptikringe beziehungsweise der erste Ring und der zweite Ring in Umlaufrichtung um die optische Hauptachse an gleicher Azimutposition mit ihren beiden Ringbergen angeordnet.It is preferably provided that the two haptic rings are arranged in the circumferential direction around the main optical axis at the same azimuth position with their two ring valleys. In particular, the two haptic rings or the first ring and the second ring are arranged in the circumferential direction around the main optical axis at the same azimuth position with their two ring mountains.

Vorzugsweise ist vorgesehen, dass die Ringe so zueinander angeordnet sind, dass sie im Bereich der Ringberge ein radial nach außen gerichtetes geöffnetes Maul beziehungsweise eine Maulform darstellen. Dieses Maul hat in radialer Richtung betrachtet am radial äußersten Ende die größte Maulöffnung. Diese beiden Ringe nehmen ausgehend von einem jeweiligen Ringtal in Umlaufrichtung um die optische Hauptachse betrachtet bis hin zum anderen nächsten Ringtal im Radius zu und der Abstand dieser beiden Ringe nimmt dabei in Richtung der optischen Hauptachse betrachtet bis zu den beiden Ringbergen kontinuierlich zu und nimmt dann von den Ringbergen bis zu dem jeweils nachfolgenden zweiten Ringtal wieder ab.Preferably, it is provided that the rings are arranged relative to one another in such a way that they represent a radially outwardly directed open mouth or a mouth shape in the area of the ring mountains. Viewed in the radial direction, this mouth has the largest mouth opening at the radially outermost end. Starting from a respective ring valley in the circumferential direction around the main optical axis, these two rings increase in radius up to the other next ring valley and the distance between these two rings, viewed in the direction of the main optical axis, increases continuously up to the two ring mountains and then decreases the Ringbergen to the second ring valley that follows.

In einer vorteilhaften Ausführung ist vorgesehen, dass die Ringe mit ihren jeweiligen Ringtälern an einer Umfangswand des optischen Teils direkt mit dem optischen Teil verbunden sind, insbesondere einstückig damit ausgebildet sind. Es kann vorgesehen sein, dass die benachbarten Ringtäler der beiden Ringe an dieser spezifischen Azimutposition benachbart und überlappungsfrei angeordnet sind oder überlappend miteinander ausgebildet sind. Die Ringe können auch einstückig miteinander als Ringensemble ausgebildet sein.In an advantageous embodiment it is provided that the rings with their respective ring valleys on a peripheral wall of the optical part are connected directly to the optical part, in particular are formed in one piece with it. It can be provided that the adjacent ring valleys of the two rings are arranged adjacently at this specific azimuth position and without overlap or are designed to overlap with one another. The rings can also be designed in one piece with each other as a ring ensemble.

In einer vorteilhaften Ausführung kann vorgesehen sein, dass die Ringe in ihrem in eine Ebene aufgeklappten Zustand, in dem dann nur die zweidimensionale Formgebung dargestellt ist, als Kreisringe ausgebildet sind. Sie können bei einer diesbezüglichen Betrachtung im Zweidimensionalen in einer Ebene auch als Ovalringe ausgebildet sein.In an advantageous embodiment, it can be provided that the rings are designed as circular rings in their unfolded state into a plane, in which only the two-dimensional shape is then shown. When viewed in two dimensions in this regard, they can also be designed as oval rings in one plane.

Vorzugsweise ist zumindest einer der beiden Ringe in Umlaufrichtung unterbrechungsfrei und somit vollständig geschlossen ausgebildet. In einer vorteilhaften Ausführung ist vorgesehen, dass ein axialer Abstand eines Ringbergs eines Rings zur Mittelebene des optischen Teils größer ist, als ein Abstand eines, insbesondere mittigen, Wölbungsmaximums des optischen Teils zur Mittelebene. Dadurch ist es ermöglicht, dass die Intraokularlinse auch so im Kapselsack positioniert ist, dass der optische Teil beabstandet zu einer Kapselsackwand angeordnet ist. Dies ist insbesondere von Vorteil für eine Rückseite des optischen Teils. Diese Rückseite kann dann im Kapselsack beabstandet zu einer hinteren Kapselsackwand angeordnet werden. Dadurch kann Kammerwasser zwischen dieser Rückseite und dem hinteren Kapselsack gelangen. Dadurch kann die Migration von Zellen vermieden werden und somit eine Eintrübung des hinteren Kapselsacks vermieden werden.Preferably, at least one of the two rings is designed to be uninterrupted in the circumferential direction and therefore completely closed. In an advantageous embodiment it is provided that an axial distance of a ring mountain of a ring to the central plane of the optical part is greater than a distance of a, in particular central, Curvature maximum of the optical part to the center plane. This makes it possible for the intraocular lens to be positioned in the capsular bag in such a way that the optical part is arranged at a distance from a capsular bag wall. This is particularly advantageous for a rear side of the optical part. This back side can then be arranged in the capsular bag at a distance from a rear wall of the capsular bag. This allows aqueous humor to get between this back and the posterior capsular bag. This can prevent the migration of cells and thus avoid clouding of the posterior capsular bag.

Insbesondere ist die Intraokularlinse eine Hinterkammerlinse zum Implantieren in einen Kapselsack eines Auges.In particular, the intraocular lens is a posterior chamber lens for implanting into a capsular bag of an eye.

Die diesbezüglich vorgeschlagene Intraokularlinse ist faltbar und kann symmetrisch im Kapselsack positioniert werden, ohne dass es zu axialen Verschiebungen kommt. Die diesbezüglich spezifizierte Haptik kann sich in verbesserter Weise den räumlichen Gegebenheiten des Kapselsacks individuell anpassen. Dadurch können unerwünschte Lageveränderungen des Optikteils beziehungsweise des optischen Teils der Intraokularlinse vermieden werden. Insbesondere ist durch diese Ausgestaltung der Haptik auch eine verbesserte Rotationsstabilität der Intraokularlinse im Kapselsack erreicht.The intraocular lens proposed in this regard is foldable and can be positioned symmetrically in the capsular bag without causing axial displacements. The haptics specified in this regard can be individually adapted to the spatial conditions of the capsular bag in an improved manner. This makes it possible to avoid undesirable changes in the position of the optical part or the optical part of the intraocular lens. In particular, this design of the haptics also achieves improved rotational stability of the intraocular lens in the capsular bag.

Insbesondere ist die Intraokularlinse einstückig aus einem Polymermaterial ausgebildet.In particular, the intraocular lens is formed in one piece from a polymer material.

Insbesondere ist die Intraokularlinse als kapselsackimplantierende Intraokularlinse ausgebildet. Sie kann in dem Zusammenhang auch als Kapselsack-Implantations-Intraokularlinse bezeichnet werden. Insbesondere ist sie in dem Zusammenhang eine Hinterkammerlinse zum Implantieren in einen Kapselsack eines Auges. Dies bedeutet, dass die Intraokularlinse bestimmungsgemäß, insbesondere nur, zur Implantation in einen Kapselsack eines Auges vorgesehen ist.In particular, the intraocular lens is designed as a capsular bag-implanting intraocular lens. In this context it can also be referred to as a capsular bag implantation intraocular lens. In particular, in this context it is a posterior chamber lens for implanting into a capsular bag of an eye. This means that the intraocular lens is intended, in particular only, for implantation into a capsular bag of an eye.

Weitere Merkmale der Erfindung ergeben sich aus den Ansprüchen, den Figuren und der Figurenbeschreibung. Die vorstehend in der Beschreibung genannten Merkmale und Merkmalskombinationen, sowie die nachfolgend in der Figurenbeschreibung genannten und/oder in den Figuren alleine gezeigten Merkmale und Merkmalskombinationen sind nicht nur in der jeweils angegebenen Kombination, sondern auch in anderen Kombinationen verwendbar, ohne den Rahmen der Erfindung zu verlassen. Es sind somit auch Ausführungen von der Erfindung als umfasst und offenbart anzusehen, die in den Figuren nicht explizit gezeigt und erläutert sind, jedoch durch separierte Merkmalskombinationen aus den erläuterten Ausführungen hervorgehen und erzeugbar sind. Es sind auch Ausführungen und Merkmalskombinationen als offenbart anzusehen, die somit nicht alle Merkmale eines ursprünglich formulierten unabhängigen Anspruchs aufweisen. Es sind darüber hinaus Ausführungen und Merkmalskombinationen, insbesondere durch die oben dargelegten Ausführungen, als offenbart anzusehen, die über die in den Rückbezügen der Ansprüche dargelegten Merkmalskombinationen hinausgehen oder abweichen.Further features of the invention emerge from the claims, the figures and the description of the figures. The features and combinations of features mentioned above in the description, as well as the features and combinations of features mentioned below in the description of the figures and/or shown in the figures alone not only in the specified combination, but also in other combinations, without departing from the scope of the invention. Embodiments that are not explicitly shown and explained in the figures, but which emerge from the explained embodiments and can be generated by separate combinations of features are therefore also to be regarded as included and disclosed by the invention. Versions and combinations of features are also to be regarded as disclosed, which therefore do not have all the features of an originally formulated independent claim. In addition, versions and combinations of features, in particular through the statements set out above, are to be regarded as disclosed, which go beyond or deviate from the combinations of features set out in the references to the claims.

Die in den Unterlagen angegebenen konkreten Werte von Parametern und Angaben zu Verhältnissen von Parametern bzw. Parameterwerten zur Definition von Ausführungsbeispielen der Augenlinse sind auch im Rahmen von Abweichungen, beispielsweise aufgrund von Messfehlern, Systemfehlern, DIN-Toleranzen etc. als vom Rahmen der Erfindung mit umfasst anzusehen, wodurch auch Erläuterungen, die sich auf im Wesentlichen entsprechende Werte und Angaben beziehen darunter zu verstehen sind.The specific values of parameters and information on ratios of parameters or parameter values specified in the documents for defining exemplary embodiments of the eye lens are also included in the scope of the invention in the context of deviations, for example due to measurement errors, system errors, DIN tolerances, etc This also includes explanations that refer to essentially corresponding values and information.

Kurze Beschreibung der ZeichnungenBrief description of the drawings

Ausführungsbeispiele der Erfindung werden nachfolgend anhand schematischer Zeichnungen näher erläutert. Es zeigen:

Fig. 1
eine perspektivische Darstellung eines Ausführungsbeispiels einer erfindungsgemäßen Intraokularlinse;
Fig. 2
eine perspektivische Darstellung eines Ausführungsbeispiels einer Haptik für eine Intraokularlinse;
Fig. 3
eine schematische Darstellung der Intraokularlinse gemäß Fig. 1 in einer Draufsicht in Richtung der optischen Hauptachse der Intraokularlinse;
Fig. 4
eine schematische Darstellung eines Rings der Haptik in einer zweidimensionalen Grundform, in welcher der Ring ein Kreisring ist;
Fig. 5
eine Darstellung gemäß Fig. 4, in welcher ein weiteres Ausführungsbeispiel eines Rings in einer Grundform als Ovalring dargestellt ist.
Fig. 6a
eine schematische Darstellung eines Ausführungsbeispiels einer Intraokularlinse, die in einen Kapselsack implantiert ist;
Fig. 6b
eine Darstellung gemäß Fig. 6a, in welcher die Intraokularlinse in einen zu Fig. 6a größeren Kapselsack implantiert ist; und
Fig. 6c
eine Darstellung gemäß Fig. 6a und 6b, in welcher die Intraokularlinse in einen nochmals größeren Kapselsack implantiert ist.
Exemplary embodiments of the invention are explained in more detail below using schematic drawings. Show it:
Fig. 1
a perspective view of an exemplary embodiment of an intraocular lens according to the invention;
Fig. 2
a perspective view of an exemplary embodiment of a haptic for an intraocular lens;
Fig. 3
a schematic representation of the intraocular lens according to Fig. 1 in a top view in the direction of the main optical axis of the intraocular lens;
Fig. 4
a schematic representation of a ring of the haptics in a two-dimensional basic shape, in which the ring is a circular ring;
Fig. 5
a representation according to Fig. 4 , in which a further embodiment of a ring is shown in a basic shape as an oval ring.
Fig. 6a
a schematic representation of an embodiment of an intraocular lens implanted in a capsular bag;
Fig. 6b
a representation according to Fig. 6a , in which the intraocular lens is turned into one Fig. 6a larger capsular bag is implanted; and
Fig. 6c
a representation according to 6a and 6b , in which the intraocular lens is implanted in an even larger capsular bag.

Bevorzugte Ausführungsbeispiele der ErfindungPreferred embodiments of the invention

In den Figuren werden gleiche oder funktionsgleiche Elemente mit den gleichen Bezugszeichen versehen.In the figures, identical or functionally identical elements are given the same reference numerals.

In Fig. 1 ist in einer perspektivischen Darstellung ein Ausführungsbeispiel einer künstlichen Intraokularlinse 1 gezeigt. Diese Intraokularlinse 1 ist eine Hinterkammerlinse zum Implantieren in einen Kapselsack eines Auges. Sie kann daher auch als Kapselsack-Implantations-Intraokularlinse bezeichnet werden. Die Intraokularlinse 1 weist einen optischen Teil 2 auf. Der optische Teil 2 ist als Linse ausgebildet. Er ist zur Erzeugung einer definierten optischen Abbildungseigenschaft der Intraokularlinse 1 ausgebildet. Die Intraokularlinse 1 weist eine optische Achse bzw. eine optische Hauptachse A auf. Diese durchdringt eine Vorderseite 3 des optischen Teils 2 und eine Rückseite 4 des optischen Teils 2 zentral und mittig des optischen Teils 2.In Fig. 1 an embodiment of an artificial intraocular lens 1 is shown in a perspective view. This intraocular lens 1 is a posterior chamber lens for implanting into a capsular bag of an eye. It can therefore also be referred to as a capsular bag implantation intraocular lens. The intraocular lens 1 has an optical part 2. The optical part 2 is designed as a lens. It is designed to generate a defined optical imaging property of the intraocular lens 1. The intraocular lens 1 has an optical axis or an optical main axis A. This penetrates a front side 3 of the optical part 2 and a back side 4 of the optical part 2 centrally and in the middle of the optical part 2.

Die Intraokularlinse 1 weist eine Haptik 5 auf. Die Haptik 5 ist im gezeigten Ausführungsbeispiel aus zwei Ringen 6 und 7 gebildet. Der erste Ring 6 ist im Ausführungsbeispiel zumindest bereichsweise elastisch verformbar. Der erste Ring 6 ist in Umlaufrichtung um die optische Hauptachse A uneben ausgebildet. Dies bedeutet, dass der erste Ring 6 mit seiner gesamten Formgebung beziehungsweise seiner gesamten Geometrie nicht in einer einzigen Ebene angeordnet ist. Vielmehr ist der erste Ring 6 als dreidimensional geformter Ring gebildet. Bezüglich seiner dreidimensionalen Formgebung weist der erste Ring 6 genau zwei Ringtäler 8 und 17 auf. Der erste Ring 6 weist darüber hinaus genau zwei Ringberge 9 und 10 auf. Die Ringtäler 8 und 17 sowie die Ringberge 9 und 10 sind insbesondere in Bezug zu einer Mittelebene M (Fig. 6a bis 6c) des optischen Teils 2 zu sehen. Diese Mittelebene M des als Linse ausgebildeten optischen Teils 2 verläuft insbesondere mittig durch diesen optischen Teil 2 und ist senkrecht zur optischen Hauptachse A orientiert. In Richtung der optischen Hauptachse A betrachtet weisen die beiden Ringtäler 8 und 17 somit einen geringeren Abstand zur Mittelebene M als die Ringberge 9 und 10 auf. Insbesondere ist vorgesehen, dass die Ringtäler 8 und 17 in Umlaufrichtung um die optische Hauptachse A um 180° versetzt zueinander angeordnet sind. Entsprechendes ist vorzugsweise für die Ringberge 9 und 10 ausgebildet. Die Ringberge 9 und 10 sind entlang der Längsachse B des ersten Rings 9 im gleichen Abstand zu den beiden Ringtälern 8 und 17 ausgebildet.The intraocular lens 1 has a haptic 5. In the exemplary embodiment shown, the haptic 5 is formed from two rings 6 and 7. In the exemplary embodiment, the first ring 6 is at least partially elastically deformable. The first ring 6 is uneven in the circumferential direction around the main optical axis A. This means that the first ring 6 with its entire shape or its entire geometry is not arranged in a single plane. Rather, the first ring 6 is formed as a three-dimensionally shaped ring. With regard to its three-dimensional shape, the first ring 6 has exactly two ring valleys 8 and 17. The first ring 6 also has exactly two ring mountains 9 and 10. The ring valleys 8 and 17 as well as the ring mountains 9 and 10 are particularly related to a central plane M ( Fig. 6a to 6c ) of the optical part 2 can be seen. This central plane M of the optical part 2 designed as a lens runs in particular centrally through this optical part 2 and is oriented perpendicular to the main optical axis A. Viewed in the direction of the main optical axis A, the two ring valleys 8 and 17 are therefore at a smaller distance from the central plane M than the ring mountains 9 and 10. In particular, it is provided that the ring valleys 8 and 17 are arranged offset from one another by 180° in the circumferential direction around the main optical axis A. The same is preferably designed for the ring mountains 9 and 10. The ring mountains 9 and 10 are formed along the longitudinal axis B of the first ring 9 at the same distance from the two ring valleys 8 and 17.

Insbesondere weist der erste Ring 6 die Form eines Randrings einer Reitsattelform auf. Der erste Ring 6 ist in seiner Position in dem fertigen Endzustand der Intraokularlinse 1 als Kreisring oder Ovalring ausgebildet, der um eine Achse, die in der Mittelebene M liegt und senkrecht zur optischen Hauptachse A orientiert ist, herum gekrümmt ist. Dadurch entsteht diese Reitsattelform. Es kann auch vorgesehen sein, dass diese Endposition des ersten Rings 6 ein ringförmiger Ausschnitt aus einer Mantelwand eines Hohlzylinders gebildet ist, wobei dieser Hohlzylinder als Zylinderachse diejenige aufweist, die in der Mittelebene M liegt und senkrecht zur optischen Hauptachse A orientiert ist.In particular, the first ring 6 has the shape of an edge ring of a riding saddle shape. In its position in the finished final state of the intraocular lens 1, the first ring 6 is designed as a circular ring or oval ring, which is curved around an axis that lies in the central plane M and is oriented perpendicular to the main optical axis A. This creates this riding saddle shape. It can also be provided that this end position of the first ring 6 is an annular section formed from a jacket wall of a hollow cylinder, this hollow cylinder having as a cylinder axis that which lies in the central plane M and is oriented perpendicular to the main optical axis A.

Der erste Ring 6 ist mit seinen Ringtälern 8 und 17 umfangsseitig an dem optischen Teil 2 gekoppelt. Er ist insbesondere direkt mit dem optischen Teil 2 verbunden. Der erste Ring 6 ist mit seinen Ringbergen 9 und 10 berührungslos zum optischen Teil 2 angeordnet. Diese Ringberge 9 und 10 sind in radialer Richtung zur optischen Hauptachse A betrachtet somit radial nach außen frei auskragend.The first ring 6 is coupled with its ring valleys 8 and 17 to the optical part 2 on the circumference. In particular, it is directly connected to the optical part 2. The first ring 6 is arranged with its ring mountains 9 and 10 without contact with the optical part 2. These ring mountains 9 and 10, when viewed in the radial direction to the main optical axis A, can therefore project freely outwards.

Wie in dem Beispiel in Fig. 1 des Weiteren zu erkennen ist, weist die Haptik 5 im Ausführungsbeispiel einen zweiten Ring 11 auf. Dieser zweite Ring 11 ist ebenfalls in Umlaufrichtung um die optische Hauptachse A unterbrechungsfrei ausgebildet und vollständig umlaufend um die optische Hauptachse A ausgebildet. Insbesondere ist vorgesehen, dass dieser zweite Ring 11 ebenfalls genau zwei Ringtäler 12 und 13 sowie zwei Ringberge 14 und 15 aufweist. Der zweite Ring 11 ist vorzugsweise so zum ersten Ring 6 angeordnet, dass in Umlaufrichtung um die optische Hauptachse A die beiden Ringtäler 8 und 12 an gleicher Azimutposition angeordnet sind und auch die beiden Ringtäler 17 und 13 in gleicher Azimutposition angeordnet sind. Insbesondere sind die beiden Ringe 6 und 11 so ausgebildet und angeordnet, dass die Ringberge 9 und 14 an gleicher Azimutposition angeordnet sind und die Ringberge 10 und 15 an gleicher Azimutposition angeordnet sind.As in the example in Fig. 1 It can also be seen that the haptic 5 in the exemplary embodiment has a second ring 11. This second ring 11 is also designed to be uninterrupted in the circumferential direction around the main optical axis A completely circumferential around the main optical axis A. In particular, it is provided that this second ring 11 also has exactly two ring valleys 12 and 13 and two ring mountains 14 and 15. The second ring 11 is preferably arranged relative to the first ring 6 such that in the circumferential direction around the main optical axis A, the two ring valleys 8 and 12 are arranged at the same azimuth position and the two ring valleys 17 and 13 are also arranged in the same azimuth position. In particular, the two rings 6 and 11 are designed and arranged such that the ring mountains 9 and 14 are arranged at the same azimuth position and the ring mountains 10 and 15 are arranged at the same azimuth position.

Im Übrigen gelten bezüglich der Form und Anordnung relativ zum optischen Teil 2 für den zweiten Ring 11 die gleichen Ausführungen, wie sie zum ersten Ring 6 dargelegt wurden.Otherwise, with regard to the shape and arrangement relative to the optical part 2, the same statements apply to the second ring 11 as were explained for the first ring 6.

In Fig. 2 ist in einer perspektivischen Darstellung die Haptik 5 der Intraokularlinse 1 ohne den optischen Teil 2 gezeigt. Die Haptik 5 mit den beiden Ringen 6 und 7 ist hier einstückig ausgebildet. Die gestrichelten Trennlinien sind hier lediglich als die jeweilige Geometrie der Ringe 6 und 7 spezifizierende Hilfslinien zu verstehen. Die Ringe 6 und 7 können auch separat ausgebildet ein.In Fig. 2 the haptics 5 of the intraocular lens 1 are shown without the optical part 2 in a perspective view. The haptic 5 with the two rings 6 and 7 is formed in one piece here. The dashed dividing lines are to be understood here merely as auxiliary lines specifying the respective geometry of the rings 6 and 7. The rings 6 and 7 can also be designed separately.

In einer Draufsicht, wie sie beispielhaft in Fig. 3 schematisch gezeigt ist und bei welcher in Richtung der optischen Hauptachse A auf die Intraokularlinse 1 geblickt wird, ist zu erkennen, dass die Ringtäler 8 und 17 des ersten Rings 6 in einem ersten Radius r1 zur optischen Hauptachse A angeordnet sind. Dieser Radius r1 ist kleiner als ein Radius r2. Dieser zweite Radius r2 stellt den radialen Abstand der Ringberge 9 und 10 zur optischen Hauptachse A dar. Die Ringberge 9 und 10 des ersten Rings 6 sind somit radial weiter von der optischen Hauptachse A entfernt als die Ringtäler 8 und 17. Gleiches gilt für die Ringtäler 12 und 13 im Vergleich zu den Ringbergen 14 und 15 des zweiten Rings 11.In a top view, as shown in Fig. 3 is shown schematically and in which one looks at the intraocular lens 1 in the direction of the main optical axis A, it can be seen that the ring valleys 8 and 17 of the first ring 6 are arranged in a first radius r1 to the main optical axis A. This radius r1 is smaller than a radius r2. This second radius r2 represents the radial distance of the ring mountains 9 and 10 to the main optical axis A. The ring mountains 9 and 10 of the first ring 6 are therefore radially further away from the main optical axis A than the ring valleys 8 and 17. The same applies to the ring valleys 12 and 13 compared to the ring mountains 14 and 15 of the second ring 11.

Insbesondere ist vorgesehen, dass der erste Ring 6 einen ersten Teilring 6a aufweist, der sich von dem ersten Ringtal 8 über den ersten Ringberg 9 bis zum zweiten Ringtal 17 erstreckt. Die Krümmung beziehungsweise die Krümmungsrichtung dieses ersten Teilrings 6a ist bezüglich der optischen Hauptachse A radial nach außen gerichtet. Der erste Teilring 6a stellt somit in der Projektionsbetrachtung gemäß Fig. 3 einen U-Bogen dar. Er erstreckt sich von einer Umfangsstelle des optischen Teils 2 bis zu einer weiteren Umfangsstelle des optischen Teils 2, die diesbezüglich um 180° versetzt dazu ist. Entsprechendes gilt für einen zweiten Teilring 6b des ersten Rings 6. Die beiden Teilringe 6a und 6b ergeben zusammen den ersten Ring 6. Gleiches gilt für einen ersten Teilring 11a und einen zweiten Teilring 11b des zweiten Rings 11.In particular, it is provided that the first ring 6 has a first partial ring 6a, which extends from the first ring valley 8 over the first ring mountain 9 to the second ring valley 17. The curvature or the direction of curvature of this first partial ring 6a is directed radially outwards with respect to the main optical axis A. The first partial ring 6a thus represents in the projection view Fig. 3 represents a U-bend. It extends from one circumferential point of the optical part 2 to another Circumferential point of the optical part 2, which is offset by 180 ° in this regard. The same applies to a second partial ring 6b of the first ring 6. The two partial rings 6a and 6b together form the first ring 6. The same applies to a first partial ring 11a and a second partial ring 11b of the second ring 11.

Eine Lichte Weite L, die sich zwischen den Ringtälern 8 und 17 geradlinig erstreckt und durch die optische Hauptachse A verläuft, bemisst sich auf mindestens 90 Prozent, insbesondere zumindest 100 Prozent des Durchmessers des optischen Teils 2. Selbiges gilt für eine Lichte Weite zwischen den Ringtälern 12 und 13.A clear width L, which extends in a straight line between the ring valleys 8 and 17 and runs through the main optical axis A, is at least 90 percent, in particular at least 100 percent, of the diameter of the optical part 2. The same applies to a clear width between the ring valleys 12 and 13.

Dieser erste Teilring 6a ist bezüglich seiner Krümmung zur optischen Hauptachse A radial nach außen gerichtet. Gleiches gilt für den zweiten Teilring 6b. Entsprechendes gilt für die Krümmungen beziehungsweise Krümmungsrichtungen der Teilringe 11a und 11b.This first partial ring 6a is directed radially outwards with respect to its curvature relative to the main optical axis A. The same applies to the second partial ring 6b. The same applies to the curvatures or curvature directions of the partial rings 11a and 11b.

Die Ringberge 9 und 14 weisen in einem nicht implantierten Grundzustand der Intraokularlinse 1 einen Abstand a1 auf, der in Richtung der optischen Hauptachse A bemessen ist. Dieser Abstand a1 ist größer als ein in Richtung der optischen Hauptachse A bemessener, gegebenenfalls vorhandener Abstand zwischen den Ringtälern 8 und 12 und/oder den Ringtälern 17 und 13. Insbesondere ist ein entsprechender Abstand a1 auch zwischen den Ringbergen 10 und 15 ausgebildet. In Umlaufrichtung um die optische Hauptachse A betrachtet variiert somit ein Abstand zwischen den beiden Ringen 6 und 11 von einem Minimum beziehungsweise einem Abstand 0 an den Ringtälern 8, 12 und 17, 13 bis zu einem jeweiligen Maximum, welches durch die Abstände a1 zwischen den Ringbergen 9, 14 und/oder den Ringbergen 10, 15 gebildet ist.In a non-implanted basic state of the intraocular lens 1, the ring mountains 9 and 14 have a distance a1 which is dimensioned in the direction of the main optical axis A. This distance a1 is larger than a possibly existing distance between the ring valleys 8 and 12 and/or the ring valleys 17 and 13, measured in the direction of the main optical axis A. In particular, a corresponding distance a1 is also formed between the ring mountains 10 and 15. Viewed in the direction of rotation around the main optical axis A, a distance between the two rings 6 and 11 therefore varies from a minimum or a distance 0 at the ring valleys 8, 12 and 17, 13 to a respective maximum, which is determined by the distances a1 between the ring mountains 9, 14 and / or the ring mountains 10, 15 is formed.

Darüber hinaus ist vorgesehen, dass die Ringberge 9 und 10 des ersten Rings 6 in Richtung der optischen Hauptachse A betrachtet einen größeren Abstand zur Mittelebene M im optischen Teil 2 aufweisen, als die Ringtäler 8 und 17. Insbesondere beträgt dieser Abstand die Hälfte des Abstands a1. Insbesondere gilt Entsprechendes für die Abstände der Ringberge 14 und 15 zu dieser Mittelebene M, insbesondere in Bezug zu den Ringtälern 12 und 13.In addition, it is provided that the ring mountains 9 and 10 of the first ring 6, viewed in the direction of the main optical axis A, have a greater distance from the central plane M in the optical part 2 than the ring valleys 8 and 17. In particular, this distance is half of the distance a1 . In particular, the same applies to the distances between the ring mountains 14 and 15 from this central plane M, in particular in relation to the ring valleys 12 and 13.

Insbesondere sind die beiden Ringe 6 und 11 symmetrisch zur Mittelebene M ausgebildet.In particular, the two rings 6 and 11 are designed symmetrically to the central plane M.

In Fig. 4 ist ein Ausführungsbeispiel für einen ersten Ring 6 gezeigt. Dieser Ring 6 ist in der Figurenebene dargestellt und somit im Vergleich zu Fig. 1 diesbezüglich aufgeklappt und somit eben dargestellt. Er weist in dieser aufgeklappten ebenen Darstellung die Form eines Kreisrings auf. In Fig. 5 ist dazu in einer alternativen Ausgestaltung der erste Ring 6 in dieser Figurenebene gezeigt und somit im Vergleich zu der Endposition einer Intraokularlinse 1 in einem aufgeklappten Zustand und somit in einer zweidimensionalen Darstellung gezeigt. Diese aufgeklappte Grundform kann hier in der Draufsicht ein Ovalring sein. Entsprechende Formen, wie sie in der zweidimensionalen aufgeklappten Grundform des ersten Rings 6 in Fig. 4 und Fig. 5 gezeigt sind, können auch für den zweiten Ring 11 ausgebildet sein.In Fig. 4 an exemplary embodiment of a first ring 6 is shown. This ring 6 is shown in the plane of the figure and thus in comparison Fig. 1 opened up in this regard and thus just shown. In this unfolded flat representation it has the shape of a circular ring. In Fig. 5 In an alternative embodiment, the first ring 6 is shown in this plane of the figure and is therefore shown in an unfolded state and thus in a two-dimensional representation in comparison to the end position of an intraocular lens 1. This unfolded basic shape can be an oval ring in the top view. Corresponding shapes, as in the two-dimensional opened basic shape of the first ring 6 in Fig. 4 and Fig. 5 are shown, can also be designed for the second ring 11.

In Fig. 6a ist in einer schematischen Darstellung ein implantierter Zustand der Intraokularlinse 1 in einen Kapselsack 16 gezeigt. Der hier relativ kleine Kapselsack 16 bedingt, dass die Ringberge 9, 10, 14 und 15 relativ stark einander zubewegt sind und somit elastisch diesbezüglich verformt sind. Der optische Teil 2 weist eine Mittendicke D auf. Diese Mittendicke D ist entlang der optischen Hauptachse A bemessen und stellt die größte Dicke des optischen Teils 2 dar. Eine Dicke, die sich zwischen der Vorderseite 3 und der Mittelebene M entlang der optischen Hauptachse A bemisst, stellt die Hälfte dieser Mittendicke D dar. Insbesondere ist im nicht implantierten Zustand der Intraokularlinse 1 ein Abstand eines Ringbergs 9, 10 zur Mittelebene M in Richtung der optischen Hauptachse A betrachtet größer als dieser Abstand D/2.In Fig. 6a a schematic representation shows an implanted state of the intraocular lens 1 in a capsular bag 16. The relatively small capsular bag 16 here means that the ring mountains 9, 10, 14 and 15 are moved relatively strongly towards each other and are therefore elastically deformed in this regard. The optical part 2 has a center thickness D. This center thickness D is measured along the main optical axis A and represents the largest thickness of the optical part 2. A thickness that is measured between the front 3 and the center plane M along the main optical axis A represents half of this center thickness D. In particular In the non-implanted state of the intraocular lens 1, a distance of a ring mount 9, 10 from the central plane M, viewed in the direction of the main optical axis A, is greater than this distance D/2.

Insbesondere ist es durch diese Ausgestaltung auch ermöglicht, dass die Intraokularlinse 1 im implantierten Zustand im Kapselsack 6 mit ihrem optischen Teil 2 beabstandet zu den Kapselsackwänden, insbesondere einer hinteren Kapselsackwand, angeordnet werden kann. Damit kann Kammerwasser zwischen einer Rückseite 4 und der hinteren Kapselsackwand des Kapselsacks 16 gelangen.In particular, this configuration also makes it possible for the intraocular lens 1 in the implanted state in the capsular bag 6 to be arranged with its optical part 2 at a distance from the capsular bag walls, in particular a rear capsular bag wall. This means that aqueous humor can get between a back 4 and the rear capsular bag wall of the capsular bag 16.

In Fig. 6b ist in einem weiteren Ausführungsbeispiel der implantierte Zustand der Intraokularlinse 1 in einen Kapselsack 16' gezeigt. Dieser Kapselsack 16' ist größenmäßig und/oder formmäßig unterschiedlich zum Kapselsack 16. Aufgrund der Elastizität und spezifischen Formgebung der Haptik 5 ist auch darin eine positionssichere und/oder rotationsstabile und/oder kippfreie Positionierung ermöglicht. Eine weitere Darstellung eines implantierten Zustands der Intraokularlinse 1 in einen diesbezüglich nochmals unterschiedlichen Kapselsack 16" ist in Fig. 6c schematisch gezeigt.In Fig. 6b In a further exemplary embodiment, the implanted state of the intraocular lens 1 in a capsular bag 16 'is shown. This capsular bag 16 'is different in size and/or shape from the capsular bag 16. Due to the elasticity and specific shape of the haptic 5, positioning is also possible therein in a secure and/or rotationally stable and/or tilt-free manner. Another representation an implanted state of the intraocular lens 1 in a capsular bag 16" which is again different in this regard is in Fig. 6c shown schematically.

Claims (10)

  1. Intraocular lens (1) comprising a single optical part (2) and comprising a haptic (5) coupled to the optical part (2), and having a main optical axis (A) which passes through a front side (3) and a back side (4) of the optical part (2), the haptic (5) comprising a first haptic part which is in the form of a first ring (6) and encircles the optical part (2), and at least one second haptic part which is in the form of a second ring (11) and encircles the optical part (2) and which is elastically movable relative to the first haptic part, at least one of the two rings (6, 11) having an uneven form in the circumferential direction about the main optical axis (A),
    characterized in that
    at least one of the two rings (6, 11) has exactly two ring valleys (8, 17, 12, 13) and exactly two ring peaks (9, 10, 14, 15).
  2. Intraocular lens (1) according to Claim 1,
    characterized in that
    the at least one ring (6, 11) with the exactly two ring valleys (8, 17, 12, 13) and exactly two ring peaks (9, 10, 14, 15) has the shape of an edge ring of a saddle form.
  3. Intraocular lens (1) according to Claim 1 or 2, characterized in that
    the at least one ring (6, 11) merges with the optical part (2) with its ring valleys (8, 17, 12, 13) along the circumferential side and its ring peaks (9, 10, 14, 15) are arranged so as not to be in contact with the optical part (2).
  4. Intraocular lens (1) according to any one of the preceding claims,
    characterized in that
    the ring valleys (8, 17, 12, 13) are arranged at a first radius (r1) with respect to the main optical axis (A) in the case of a projected view in the direction of the main optical axis (A) and the ring peaks (9, 10, 14, 15) are arranged at a second radius (r2) which is comparatively larger than the first radius (r1) in the case of this projected view.
  5. Intraocular lens (1) according to any one of the preceding claims,
    characterized in that
    the at least one ring (6, 11) with the exactly two ring valleys (8, 17, 12, 13) and exactly two ring peaks (9, 10, 14, 15) has a first ring portion (6a, 6b, 11a, 11b) which extends from the first ring valley (8, 12) over a first ring peak (9, 10, 14, 15) and up to the second ring valley (17, 13), a clear width (L) of the ring portion (6a, 6b, 11a, 11b) as measured between the ring valleys (8, 17, 12, 13) being at least 90% of the diameter of the optical part (2).
  6. Intraocular lens (1) according to any one of the preceding claims,
    characterized in that
    the at least one ring (6, 11) with the exactly two ring valleys (8, 17, 12, 13) and exactly two ring peaks (9, 10, 14, 15) has a first ring portion (6a, 6b, 11a, 11b) which extends from the first ring valley (8, 12) over a first ring peak (9, 10, 14, 15) and up to the second ring valley (17, 13), the curvature of the first ring portion (6a, 6b, 11a, 11b) being directed radially to the outside in relation to the main optical axis (A).
  7. Intraocular lens (1) according to any one of the preceding claims,
    characterized in that
    the ring peaks (9, 10, 14, 15) have a greater distance from the central plane (M) of the optical part (2) than the ring valleys (8, 17, 12, 13) when considered parallel to the main optical axis (A).
  8. Intraocular lens (1) according to any one of the preceding claims,
    characterized in that
    the first ring (6) has the same shape as the second ring (11) and the rings (6, 11) are arranged symmetrically in relation to the central plane (M) of the optical part (2) .
  9. Intraocular lens (1) according to Claim 8,
    characterized in that
    the rings (6, 11), by way of their respective ring valleys (8, 17, 12, 13), are directly connected to the optical part (2), in particular formed in one piece therewith, at a circumferential wall of the optical part (2).
  10. Intraocular lens (1) according to any one of the preceding claims,
    characterized in that
    the intraocular lens (1) is a posterior chamber lens for implantation into a capsular bag (16, 16', 16") of an eye.
EP20753740.8A 2019-08-30 2020-08-07 Intraocular lens having a specific, three-dimensionally curved haptic element Active EP4021346B1 (en)

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PCT/EP2020/072215 WO2021037523A1 (en) 2019-08-30 2020-08-07 Intraocular lens having a specific, three-dimensionally curved haptic element

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JP (1) JP7302096B2 (en)
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US4804361A (en) * 1984-06-25 1989-02-14 Anis Aziz Y Flexible one-piece posterior chamber lens
US6027531A (en) * 1997-10-14 2000-02-22 Tassignon; Marie-Joseb. R. Intraocular lens and method for preventing secondary opacification
DE10016929C2 (en) 2000-04-05 2003-07-24 Acrimed Gmbh Device for attaching an intraocular lens
US7118597B2 (en) 2001-06-22 2006-10-10 David Miller Accommodating intraocular lens
DE10310961B4 (en) 2003-03-13 2006-12-28 Aixmed Gmbh Posterior chamber lens
US20130053955A1 (en) * 2004-09-17 2013-02-28 Gene Currie Intraocular lens (iol)
US8241355B2 (en) 2005-10-28 2012-08-14 Abbott Medical Optics Inc. Haptic for accommodating intraocular lens
DE102007057122A1 (en) * 2006-12-22 2008-06-26 Dr. Schmidt Intraocularlinsen Gmbh Intraocular lens for implantation in eye, particularly human eye, has lens, which has optical axis, anterior optical surface that is transverse to optical axis, and posterior optical surface that is opposite to anterior optical surface
US8608799B2 (en) * 2007-01-24 2013-12-17 Tekia, Inc. Umbrella-shaped accommodating artificial ocular lens (AAOL) device
CA2730123A1 (en) * 2008-07-15 2010-01-21 Alcon, Inc. Accommodative iol with toric optic and extended depth of focus
US8043372B2 (en) 2008-10-14 2011-10-25 Abbott Medical Optics Inc. Intraocular lens and capsular ring
JP5481588B1 (en) * 2013-05-13 2014-04-23 株式会社Frontier Vision Accommodating intraocular lens
ES2722404T3 (en) * 2013-08-20 2019-08-09 Oculentis Holding Bv Intraocular lens assembly
WO2015087931A1 (en) * 2013-12-13 2015-06-18 株式会社Frontier Vision Adjustable intraocular lens

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JP2022545509A (en) 2022-10-27
US20220183820A1 (en) 2022-06-16

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